TRICARE offers a wide variety of publications to guide you to the information you need, when you need it. This recall is for DreamStation 1 CPAP and BIPAP devices reworked by Philips that were also recalled in June 2021. Changes to TRICARE programs are continually made as public law, federal regulation and our managed care support contract are amended. That contract is worth up to $70. Handbooks TRICARE Active Duty Dental Program. 1, 2020, TRICARE adopted the Centers for Medicare & Medicaid Services (CMS) Home Health Value-Based Purchasing (HHVBP) model for home health agencies (HHAs) in nine U. TRICARE: information and links originally posted 11/13/2003, updated 5/31/2015 with updated links to TriCare Manuals and CFR citations. TRICARE updated its telemedicine Place of Service (POS) codes for dates of service on or after Jan 1, 2022, and included adding POS 10 to the telehealth codes. The 2023 TRICARE West Region Provider Handbook, effective Jan. Identification #: N/A; Date: 8/17/2021; Type: Memorandums; Topics: Information for Patients: About TRICARE / Rates and Reimbursement. Changes to TRICARE programs are continually made as public law, federal. The TRICARE West Region Provider Handbook is updated on an annual basis. Depending on the complexity of the law and federal funding, it can take a year or longer before the DoD provides direction for. TRICARE For Life Handbook. You may also contact the Managed Care Support Contractor in your region to obtain further information. TRICARE Policy, Operations and Reimbursement Manuals TRICARE Policy Manual : The TRICARE Policy Manual provides operating guidelines, instructions and in-depth detail about TRICARE Operations Manual : The TRICARE Operations Manual provides operational components of the program and the TRICARE. 3-M, April 2015, Change 66 (May 5, 2023) Consolidated Change 23-001. TRICARE Operations Manual 6010. The ACD adopted the new Category I CPT codes that directly transferred from the Category III codes. TRICARE covers new, non-recalled devices when a medically necessary device has been recalled. Forms Forms and instructions; includes links to region-specific forms. (CFR) and TRICARE manuals. There are several key changes:. It describes how Medicare and TRICARE work together, provider options, costs, claims,. NASHVILLE – A Clarksville, Tennessee psychiatrist pleaded guilty today in U. TRICARE Program Manuals Provides access to TRICARE program manuals, including the TRICARE operations manual, TRICARE policy manual, TRICARE reimbursement manual, and TRICARE systems manual. Identification #: 15-012 Date: 10/22/2015 Type: Memorandums Topics: Information for Patients: About TRICARE / Rates and Reimbursement. Depending on the complexity of the law and federal funding, it can take a year or longer before the DoD provides direction for administering policy changes. For more information about the EFMP: Talk to your Service point of contact Call Military OneSource at 1-800-342-9647 Military OneSource. Able to withstand repeated use. Tricare ManualsResource Site Location Directions. The TRICARE Reimbursement Manual provides the methodology for pricing allowable services and items and for payment to specific categories and types of authorized providers. Specifically, the ACD has adopted 97151, 97153, 97155 and 97156. The TRICARE Reimbursement Manual provides the methodology for pricing allowable services and items and for payment to specific categories and types of authorized providers. 64-M, April 2021; TRICARE Systems Manual 7950. TRICARE regions. TRICARE For Life Handbook This handbook provides an overview of the TRICARE For Life program, which is Medicare-wraparound coverage for military retirees and their TRICARE-eligible family members who have both Medicare Part A and Part B. 2023 TRICARE Provider Handbook Now Online to Preview. Check it out Accurate provider locator data depends on you! Make sure TRICARE beneficiaries are able to find you in our locator by updating your demographic data!. Philips Respironics DreamStation 1 Class I Recall. TRICARE Program Manuals Provides access to TRICARE program manuals, including the TRICARE operations manual, TRICARE policy manual, TRICARE reimbursement. Whether youre active duty, Reserve, a retiree, or a family member, theres a publication for you. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U. June 9, 2020 / TRICARE manuals now include a Patient-Driven Payment Model (PDPM) for Skilled Nursing Facility (SNF) reimbursement Retroactive to October 1, 2019, TRICARE has adopted the Medicare June 8, 2020 / Physical Therapy Assistants (PTA) and Occupational Therapy Assistants (OTA) are now covered by TRICARE. Must improve the function of a malformed, diseased or injured body part, or reduce further deterioration of the patients physical condition. TRICARE requires coordination of benefits with other health insurance (OHI) coverage. However, the beneficiary usually owes very little to nothing. What is TRICARE? Explore more on TRICARE regions, beneficiaries and manuals; see our resources, tools and much more. The 2023 TRICARE West Region Provider Handbook (Handbook) is now effective and available online. TRICARE Program Manuals Provides access to TRICARE program manuals, including the TRICARE operations manual, TRICARE policy manual, TRICARE reimbursement manual, and TRICARE systems manual. Please contact the managed care support contractor in the appropriate region for information regarding referrals, coverage, and benefits. TRICARE: information and links originally posted 11/13/2003, updated 5/31/2015 with updated links to TriCare Manuals and CFR citations. TRICARE provider handbook 2023>TRICARE provider handbook 2023. We developed the Handbook to provide you with a comprehensive guide to TRICARE program specifics and TRICARE West Region contract requirements, policies, and procedures that affect the way you deliver and coordinate services. The 2022 TRICARE West Region Provider Handbook, effective Jan. TRICARE does not always pay the beneficiary’s OHI copayment or the balance left over after the OHI payment. 16 to TRICARE due to prior claims that had been rendered by non-TRICARE-certified providers. Handbooks TRICARE Active Duty Dental Program. Medical Management (MM), Utilization Management (UM), And Quality Management (QM). TRICARE manuals serve for contracts awarded on or after 06/27/2008 for the north, south, and west regions. If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help page. TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 1110b and Title 32, Code of Federal Regulations, Part 199. Upon direction of the respective Contracting Officer (CO), all or portions of these manuals may also apply to other TRICARE contracts. Policy Memorandum to Establish 2022 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program. TRICARE offers a wide variety of publications to guide you to the information you need, when you need it. states, four of which are in the TRICARE West Region (see TRICARE Operations Manual, Chapter 29, Section 6). 4 T-2017 to T-5 Changes • 8 Option Years (vice 5) • East & West Region; six states moving from East to West; equal distribution of covered lives • Incorporates new (Directors) Markets/MTFs into Manuals/Contract. TRICARE provider resources. June 9, 2020 / TRICARE manuals now include a Patient-Driven Payment Model (PDPM) for Skilled Nursing Facility (SNF) reimbursement Retroactive to October 1, 2019, TRICARE has adopted the Medicare June 8, 2020 / Physical Therapy Assistants (PTA) and Occupational Therapy Assistants (OTA) are now covered by TRICARE. Prior authorization is required for all LDTs except for Cystic Fibrosis (CF) testing. 2022 TRICARE Provider Handbook and Quick Reference Charts Now Available. Use the resources here to manage your TRICARE benefits: Claims Instructions, tips, and claims addresses for medical, pharmacy, and dental claims. Policy Memorandum to Establish 2022 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program. IMPORTANT: Prior authorization information. Patients using their TRICARE benefit will need a new prescription/certificate of medical necessity from their provider (or referral for durable medical equipment) to receive a new device. TRICARE Calculates Payment with Other Health Insurance>How TRICARE Calculates Payment with Other Health Insurance. Durable Medical Equipment Details. Need larger text? MHS Home > TRICARE Manuals > Chap 17 Addendum B (Change 118, Apr 7, 2023) Previous Next. TRICARE website TRICARE. For TRICARE to pay a claim for the services of a provider, TRICARE regulations required that the provider be certified by TRICARE. TRICARE Operations Manual 6010. Laboratory Developed Tests (LDT) information for TRICARE East. Under TRICARE, home health agency (HHA) providers must follow Medicare guidelines and the TRICARE Reimbursement Manual, Chapter 12 when submitting claims for home health care. When a request type is selected, the associated codes/code ranges, number of visits, and duration of the authorization will pre-populate on the request. James Maures Dodson, 57, pleaded guilty to making false statements to Medicare and TRICARE in connection with two types of. The TRICARE Reimbursement Manual provides the methodology for pricing allowable services and items and for payment to specific categories and types of authorized. Patients using their TRICARE benefit will need a new prescription/certificate of medical necessity from their provider (or referral for durable medical equipment) to receive a new device. Each request type has been developed by HNFS in accordance with the TRICARE manuals. TRICARE Operations Manual 6010. TRICARE Operations Manual : The TRICARE Operations Manual provides operational components of the program and the specific requirements of the managed care support contractors to manage and administer TRICARE health care services. TRICARE Regulations - 32 Code of Federal Regulations, Part 199 Revised to implement new statutes or to change policy Policy memorandums can temporarily be used Directives from SECDEF or DEPSECDEF TRICARE Manuals Directs Contractor actions Revised frequently if new policies, procedures, etc. TRICARE Regulations - 32 Code of Federal Regulations, Part 199 Revised to implement new statutes or to change policy Policy memorandums can temporarily be used Directives from SECDEF or DEPSECDEF TRICARE Manuals Directs Contractor actions Revised frequently if new policies, procedures, etc. Use the resources here to manage your TRICARE benefits: Claims Instructions, tips, and claims addresses for medical, pharmacy, and dental claims. TRICARE manuals serve for contracts awarded on or after 06/27/2008 for the north, south, and west regions. For TRICARE to pay a claim for the services of a provider, TRICARE regulations required that the provider be certified by TRICARE. There are three classifications of TRICARE providers. Resources for Families with Special Needs. TRICARE offers a wide variety of publications to guide you to the information you need, when you need it. Humana Military will accept the Notice of Admission (NOA) and Requests for Anticipated Payment (RAP), pending guidance from the Defense Health Agency (DHA). Get started Who do we serve? Comprised of military members, retirees and their families, our TRICARE East beneficiaries are the driving force behind everything we do. TRICARE® West Region Provider Handbook Your guide to TRICARE programs, policies and procedures January 1-December 31, 2021 SECTION 4: Medical Coverage I TABLE OF CONTENTS 38 Physical/Occupational/Speech Therapy (PT/OT/ST) Skilled nursing facility (SNF) care Coverage is based on the beneficiarys medical needs. Please review this page for billing details on: Prospective Payment System Episodes/Periods of Care Split Percentage Payments and Requests for Anticipated Payments (RAPs). GT or GQ) when billing POS 02 or POS 10. The mission of TRICARE is to deliver exceptional medical and dental care to eligible beneficiaries and their families. TRICARE For Life Handbook This handbook provides an overview of the TRICARE For Life program, which is Medicare-wraparound coverage for military retirees and their TRICARE-eligible family members who have both Medicare Part A and Part B. The TRICARE Health Plan (THP) manages and oversees an integrated health care delivery system in the East and West U. It describes how Medicare and TRICARE work together, provider options, costs, claims, and more. TRICARE offers a wide variety of publications to guide you to the information you need, when you need it. The 2022 TRICARE West Region Provider Handbook, effective Jan. If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page. TRICARE defines covered DMEPOS as: Medically necessary and appropriate for the treatment of an illness or injury. Laboratory Developed Tests (LDT) information for TRICARE East providers. •TRICARE Young Adult •TRICARE Dental Program •Federal Employee Dental & Vision. 2022 TRICARE Provider Handbook and Quick Reference Charts …. The DoD issues this direction through modifications to the Code of Federal Regulations (CFR) and TRICARE manuals. Policy Memorandum to Establish 2022 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care. TRICARE Regulations - 32 Code of Federal Regulations, Part 199 Revised to implement new statutes or to change policy Policy memorandums can temporarily be used Directives from SECDEF or DEPSECDEF TRICARE Manuals Directs Contractor actions Revised frequently if new policies, procedures, etc. Learn about your benefit, including health, dental, pharmacy, costs, and more. TRICARE and Applied Behavior Analysis (ABA) services TRICARE covers ABA services for all TRICARE eligible beneficiaries, enrolled in an eligible TRICARE Plan Option with Autism Spectrum Disorder (ASD) through the Autism Care Demonstration (ACD). TRICARE policy resources and manuals The Defense Health Agency (DHA) provides Humana Military with guidance (as issued by the Department of Defense (DoD)) for administering TRICARE-related laws. June 9, 2020 / TRICARE manuals now include a Patient-Driven Payment Model (PDPM) for Skilled Nursing Facility (SNF) reimbursement Retroactive to October 1, 2019, TRICARE. Identification #: N/A; Date: 8/17/2021; Type: Memorandums; Topics: Information for Patients: About TRICARE / Rates and Reimbursement. Please consult the authoritative guidance found in the TRICARE Policy Manual or TRICARE Reimbursement Manual to obtain specific information on TRICARE policy, benefits, and coverage. The 2022 TRICARE West Region Provider Handbook, effective Jan. Welcome to Humana Military and TRICARE East>Welcome to Humana Military and TRICARE East. TRICARE Program Manuals Provides access to TRICARE program manuals, including the TRICARE operations manual, TRICARE policy manual, TRICARE reimbursement manual, and TRICARE systems manual. TRICARE Systems Manual 7950. TRICARE manuals serve for contracts awarded on or after 06/27/2008 for the north, south, and west regions. Use the resources here to manage your TRICARE benefits: Claims Instructions, tips, and claims addresses for medical, pharmacy, and dental claims. Current TRICARE manuals can be found at http://manuals. ABA services require prior authorization. 1, 2022, is available online for providers to view. Middle District of Tennessee. TRICARE provider handbook 2023. 63-M, April 2021; TRICARE Reimbursement Manual 6010. Search the TRICARE Manuals Search Submenu. TRICARE® West Region Provider Handbook Your guide to TRICARE programs, policies and procedures January 1–December 31, 2021 SECTION 4: Medical Coverage I TABLE OF CONTENTS 38 Physical/Occupational/Speech Therapy (PT/OT/ST) Skilled nursing facility (SNF) care Coverage is based on the beneficiary’s medical needs. Upon direction of the respective Contracting Officer (CO), all or portions of these manuals may also apply to other TRICARE contracts. Welcome to Humana Military and TRICARE East. The provider handbook is made for you! Your guide to TRICARE certification, policies to follow and answers to your key questions on referrals, claims, authorizations and more. TRICARE Program Manuals - 2021 Edition (T-5) These manuals are applicable to the T-5 East and West Regional Managed Care Support Contracts (MCSCs) (HT940223C0001 and HT940223C0002). Effective Date: June 5, 2023 Affected Sections:. TRICARE is a registered trademark of the Department of Defense (DoD), DHA. Whether you’re active duty, Reserve, a retiree, or a family member, there’s a publication for you. mil is an official website of the Defense Health Agency (DHA), a component of the Military Health System. The THP Director reports to and operates under the authority, direction, and control. Mental Health and Substance Use Disorder Facility Rates. Laboratory Developed Tests (LDT) information for TRICARE East …. TRICARE covers new, non-recalled devices when a medically necessary device has been recalled. mil TRICARE manuals online manuals. Disaster Resources Health alerts and steps to prepare before, during, and after a disaster. Recommended Content: Information for Patients: About TRICARE / Information for Providers / Qualifying Life Events / TRICARE Health Plan Page 1 of 1 , showing items 1 - 14 Last Updated: March 14, 2023. Need larger text? MHS Home > TRICARE Manuals > Chap 7 Addendum C (Change 118, Apr 7, 2023) Previous Next. The TRICARE Reimbursement Manual provides the methodology for pricing allowable services and items and for payment to specific categories and types of authorized providers. TRICARE policy resources and manuals The Defense Health Agency (DHA) provides Humana Military with guidance (as issued by the Department of Defense (DoD)) for administering TRICARE-related laws. Policy Memorandum to Establish 2022 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program. TRICARE Program Manuals - 2021 Edition (T-5) These manuals are applicable to the T-5 East and West Regional Managed Care Support Contracts. Access the TRICARE provider handbook and editions of TRICARE provider news Humana Military Interactive Voice Response (IVR) line (800) 444-5445 Look up procedure codes Check the status of claims Determine eligibility and covered benefits Check the status of referrals, authorizations and behavioral health referrals Fraud and abuse hotline. (CFR) and TRICARE manuals. 59-M, April 1, 2015 Medical Management (MM), Utilization Management (UM), And Quality Management (QM) Chapter 7 Addendum C Hospital Adjustments Revision: This review of hospital-requested claim adjustments assures that the correct diagnosis and procedure information is provided on the adjusted claim form. TRICARE East policy updates and alerts. mil Donate Blood Do Business with DHA See TRICARE Rates & Reimbursements Become a TRICARE Provider Find a Military Hospital or Clinic Get Mental Health Care Get Copies of My Medical Records Find Employee Resources Submit a Speakers Request Form Request a …. TRICARE Program Manuals - 2021 Edition (T-5) TRICARE Operations Manual 6010. The handbook is updated annually and contains. District Court to two counts of making false statements relating to health care. The mission of TRICARE is to deliver exceptional medical and dental care to eligible beneficiaries and their families. The TRICARE payment calculation is based on the providers status. Register for our next LDT webinar. Subscribe for Updates Last Updated:. Please consult the authoritative guidance found in the TRICARE Policy Manual or TRICARE Reimbursement Manual to obtain specific information on TRICARE policy, benefits, and coverage. How TRICARE Calculates Payment with Other Health Insurance. West Region Provider Handbook. (CFR) and TRICARE manuals. TRICAREs HHVBP. In February 2023, Philips Respironics (Philips) recalled some reworked Philips DreamStation 1 continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) machines. 4 T-2017 to T-5 Changes • 8 Option Years (vice 5) • East & West Region; six states moving from East to West; equal distribution of covered lives • Incorporates new. Supplemental Health Care Program (SHCP) Chapter 17. District Court to two counts of making false statements relating to health care matters, announced U. 62-M, April 2021; TRICARE Policy Manual 6010. 1, 2023, is available to preview. Register for our next LDT webinar IMPORTANT: Prior authorization information. FY2022 Joint Medical Logistics Research & Development Global Public Health Education & Training Joint Trauma. The TRICARE Operations Manual, TRICARE Reimbursement Manual, TRICARE Systems Manual and TRICARE Policy Manual are continually updated to reflect changes in the CFR. Access the TRICARE provider handbook and editions of TRICARE provider news Humana Military Interactive Voice Response (IVR) line (800) 444-5445 Look up procedure codes Check the status of claims Determine eligibility and covered benefits Check the status of referrals, authorizations and behavioral health referrals Fraud and abuse hotline. The no government pay list is made up of procedures and services outside of the scope of TRICARE and are considered noncovered. Tricare and Medicare Private Contracting. TRICARE Program Manuals - 2021 Edition (T-5) These manuals are applicable to the T-5 East and West Regional Managed Care Support Contracts (MCSCs) (HT940223C0001 and HT940223C0002). Please consult the authoritative guidance found in the TRICARE Policy Manual or TRICARE Reimbursement Manual to obtain specific information on TRICARE policy, benefits, and coverage. Updates to telemedicine Place of Service (POS) and modifier. 3-M, April 2015, Change 66 (May 5, 2023) Published Change Consolidated Change 23-001 Published Date: May 5, 2023 CONREQ: 22498 Implementation Date: June 5, 2023 None Summary of Changes: This change updates codes and value specifications. Fight for Tricare West Region Deal Continues as Health Net Files Second. 59-M, April 1, 2015 Medical Management (MM), Utilization Management (UM), And Quality Management (QM) Chapter 7 Addendum C Hospital Adjustments Revision: This review of hospital-requested claim adjustments assures that the correct diagnosis and procedure information is provided on the adjusted. The provider handbook is made for you! Your guide to TRICARE certification, policies to follow and answers to your key questions on referrals, claims, authorizations and more. Learn more No government pay list The no government pay list is made up of procedures and services outside of the scope of TRICARE and are considered noncovered. The handbook is updated annually and contains important information about TRICARE contract requirements along with the most recent updates. TRICARE covers new, non-recalled devices when a medically necessary device has been recalled. No Government Pay Procedure Code List. For more information on CMS POS. Laboratory Developed Tests (LDT) information for TRICARE East providers Provider Laboratory Developed Tests (LDT) TRICARE approves coverage for LDTs to inform and support clinical decision making in the care of our beneficiaries. TRICARE offers a wide variety of publications to guide you to the information you need, when you need it. The ACD adopted the new Category I CPT codes that directly transferred from the Category III codes. Laboratory Developed Tests (LDT) information for TRICARE East providers Provider Laboratory Developed Tests (LDT) TRICARE approves coverage for LDTs to inform and support clinical decision making in the care of our beneficiaries. The no government pay list is made up of procedures and services outside of the scope of TRICARE and are considered noncovered. The TRICARE Operations Manual, TRICARE Reimbursement Manual, TRICARE Systems Manual and TRICARE Policy Manual are continually updated to reflect changes in the CFR. TRICARE and Applied Behavior Analysis (ABA) services TRICARE covers ABA services for all TRICARE eligible beneficiaries, enrolled in an eligible TRICARE Plan Option with Autism Spectrum Disorder (ASD) through the Autism Care Demonstration (ACD). Learn about your benefit, including health, dental,. TRICARE Young Adult (TYA) premium rates are established annually on a calendar year (CY) basis in accordance with Title 10, United States Code, Section 1110b and Title 32, Code of Federal Regulations, Part 199. There are three classifications of TRICARE providers. 2022 TRICARE Provider Handbook and Updated Quick Reference. PDF West Region Provider Handbook. TRICARE updated its telemedicine Place of Service (POS) codes for dates of service on or after Jan 1, 2022, and included adding POS 10 to the telehealth codes. June 9, 2020 / TRICARE manuals now include a Patient-Driven Payment Model (PDPM) for Skilled Nursing Facility (SNF) reimbursement Retroactive to October 1, 2019, TRICARE has adopted the Medicare June 8, 2020 / Physical Therapy Assistants (PTA) and Occupational Therapy Assistants (OTA) are now covered by TRICARE. 2023 TRICARE Provider Handbook and Quick Reference Charts. Its used to coordinate assignments to support families with special medical and educational needs. 70 M TRICARE Prime 358K Direct Care Only. Request types are templates created for use with Health Net Federal Services, LLCs (HNFS) online referral and authorization submission tools, available at www. Go to the MHS GENESIS Patient Portal Find Walk-in Contraceptive Services Go to TRICARE. In May 2018, CBH offered to repay approximately $135,412. Providers should use the approved new codes for all services provided on or after January 1, 2019. If upheld, the T-5 contract award will shift 3 million beneficiaries currently in the West Region from Health Net to TriWest. Government sites or the information, products. Provider resources for TRICARE East claims. mil Defense Health Agency – Great Lakes Defense Health Agency – Great Lakes 2834 Green Bay Road, Suite 304 North Chicago, IL 60064-3091 (888) MHS-MMSO ((888) 647-6676) *The information contained in these charts is not all-inclusive. 1 (Change 108, Apr 3 >TRICARE Manuals. Information for Providers. TRICARE updated its telemedicine Place of Service (POS) codes for dates of service on or after Jan 1, 2022, and included adding POS 10 to the telehealth codes. Autism Center of Excellence (CoE) for Providers. Recommended Content: Information for Patients: About TRICARE / Information for Providers / Qualifying Life Events / TRICARE Health Plan Page 1 of 1 , showing items 1 - 14 Last Updated: March 14, 2023. TRICARE® West Region Provider Handbook Your guide to TRICARE programs, policies and procedures January 1–December 31, 2021 SECTION 4: Medical Coverage I TABLE OF CONTENTS 38 Physical/Occupational/Speech Therapy (PT/OT/ST) Skilled nursing facility (SNF) care Coverage is based on the beneficiary’s medical needs. mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System TRICARE is a registered trademark of the Department of Defense (DoD), DHA. TRICARE approves coverage for LDTs to inform and support clinical decision making in the care of our beneficiaries. TRICARE requires coordination of benefits with other health insurance (OHI) coverage. Each request type has been developed by HNFS in accordance with the TRICARE manuals. TRICARE Systems Manual 7950. TRICARE Policy Manual, statute, and regulation for policy and coverage provisions A listing of rates or facilities on this webpage does not imply coverage. What is TRICARE? Explore more on TRICARE regions, beneficiaries and manuals; see our resources, tools and much more. For more information on coverage and requirements, refer to TRICARE Policy Manual, Chapter 7, Section 22. The TRICARE West Region Provider Handbook is updated on an annual basis. TRICARE Systems Manual 7950. Under TRICARE, home health agency (HHA) providers must follow Medicare guidelines and the TRICARE Reimbursement Manual, Chapter 12 when submitting claims for home health care. TRICARE For Life Handbook This handbook provides an overview of the TRICARE For Life program, which is Medicare-wraparound coverage for military retirees and their TRICARE-eligible family members who have both Medicare Part A and Part B.